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The Neuroendocrine System: An Overview Kent T. Keyser, Ph.D. Worrell Building Room 626 975-7225 [email protected] Overview: 1. Anatomy of the Hypothalamus Subdivisions of the hypothalamus 2. Anatomy of the Pituitary Anterior pituitary Posterior pituitary Anatomical relationships between hypothalamus and pituitary 3. Function of the Hypothalamus Autonomic regulation – vasomotor tone, heart rate and blood pressure Emotional control – emergency responses to stress Osmoregulation – blood osmolality, water balance, drinking and salt appetite Thermoregulation – body temperature, thermogenesis Energy balance – feeding, digestion, and metabolic rate Biological rhythm – biological clock Sexual differentiation, reproduction function and behavior, pregnancy and lactation Neuroendocrine function - control secretion of hormones from pituitary 4. Neuroendocrine Control of Pituitary Hormones The hypothalamic-pituitary unit Hypophyseotropic hormones of the hypothalamus Regulation of oxytocin and vasopressin secretion from posterior pituitary Regulation of growth hormone, thyrotropin, corticotropin, gonadotropin and prolactin secretion from anterior pituitary Feedback mechanisms - examples The hypothalamus – is located below (hypo) the thalamus - Controls the 4 F’s…fighting, fleeing, feeding, and… reproduction A central autonomic network integrates visceral sensory information and coordinates autonomic output. The hypothalamus is a key component. The hypothalamus forms the floor and ventral walls of the 3rd ventricle and is continuous through the infundibular stalk of the posterior pituitary. The hypothalamus: • controls blood flow (cardiac output, vasomotor tone, blood osmolarity, renal clearance). • regulates energy metabolism (monitors blood glucose, regulates feeding, digestive functions, metabolic rate and body temperature). • regulates reproductive activity (influences gender identity, sexual orientation, mating behavior, menstrual cycles, pregnancy and lactation) •coordinates responses to threatening conditions (controls release of stress hormones, balance between sympathetic and parasympathetic activity, and regional blood flow). Subdivisions of the hypothalamus Anterior hypothalamic area: depressor (reduction of BP)and thirst, temperature regulation Posterior hypothalamic area: pressor (elevation of BP) center, temperature regulation Paraventricular nucleus: water balance, oxytocin and vasopressin release Supraoptic nucleus: osmoregulation, water balance, vasopressin release Lateral hypothalamic area: feeding center, energy balance Ventromedial nucleus: satiety center, energy balance Suprachiasmatic nucleus: circadian rhythms Preoptic area: sexual differentiation, sexual behavior, reproductive function Dorsal hypothalamic area: dopaminergic neurons Arcuate nucleus: dopaminergic neurons Median eminence: the final common pathway to the pituitary The hypothalamus is a cluster of about 50 interconnected nuclei. The hypothalamus integrates autonomic activity and the endocrine system. Neurons located along The axons secrete peptides directly into the portal the wall of the 3rd circulation that supplies the pituitary. ventricle manufacture peptides known as releasing or inhibiting factors that control the secretion of hormones by the anterior pituitary. The axons of these cells project to the median eminence at the hypothalamus pituitary junction. The paraventricular and and suproptic nuclei contain neurosecretory neurons whose axons descend into the posterior pituitary. These neurons can also secrete oxytocin or vasopresson (antidiurectic) into the blood. Hypothalamic releasing factors summary Anterior pituitary Factor Ant. Pit. Target hormone released target GHRH (GH releasing factor) somatotroph GH somatic tissues TRH (thyrotropin RH) thyrotroph TSH Thyroid cells CRH (corticotropin RH Corticotroph ACTH Adrenal cortex (steroids) GnRH (gonadotropin RH) gonadotroph FSH; LH gonads (Leydig cells: spermatogenesis, testosterone: ovary follicular cells: estrogen and progestin None (dopamine inhibits) Lactotroph PRL mammary glands (milk) Hormone released target --------------------------------------------------------------- Posterior pituitary Factor Post. Pit target AVP AVP collecting duct (increase H20 permeability OT OT Uterus and breast Two models for feedback control of hormone secretion. A, A sensor (e.g., a beta; cell in a pancreatic islet) detects some regulated variable (e.g., plasma [glucose]) and responds by modulating its secretion of a hormone (e.g., insulin). This hormone, in turn, acts on a target (e.g., liver or muscle) to modulate its production of another hormone or a metabolite (e.g., glucose), which may affect a second target (e.g., making glucose available to the brain). In addition, the other hormone or metabolite feeds back on the original sensor cell. B, Under the influence of the cerebral cortex, the hypothalamic releases CRH, which stimulates the anterior pituitary to release ACTH, which in turn stimulates the adrenal cortex to release cortisol. The cortisol acts on a number of effector organs. In addition, the cortisol feeds back on both the anterior pituitary and the hypothalamus. ACTH, adrenocorticotropic hormone; CRH, corticotropin-releasing hormone. Downloaded from: StudentConsult (on 3 March 2009 10:50 PM) © 2005 Elsevier The hypothalamo-pituitary axis. The pituitary (or hypophysis) is actually two glands-an anterior pituitary and a posterior pituitary (or neurohypophysis). In both cases the hypothalamus controls the secretion of hormones by the pituitary but the mechanisms are very different. Anterior pituitary. Smallbodied hypothalamic neurons in several nuclei that surround the third ventricle (the arcuate, the paraventricular and ventromedial nuclei, and the medial preoptic and periventricular regions) secrete releasing and inhibitory factors into a rich funnel-shaped plexus of capillaries that penetrates the median eminence and surrounds the infundibular recess. The capillaries coalesce into the long portal veins and carry the factors to the ant. pituitary. Posterior pituitary Other cells secrete into capillaries that make up the short portal veins and deliver releasing factors to the troph cells secrete GH, TSH, ACTH, LH, FSH, PRL. ACTH, adrenocorticotropin hormone; AVP, arginine vasopressin; FSH, follicle-stimulating hormone; GH, growth hormone; LH, luteinizing hormone; OT, oxytocin; PRL, prolactin; TSH, thyroid-stimulating hormone. Downloaded from: StudentConsult (on 3 March 2009 10:50 PM) Circumventricular organs: windows on the brain Regions of the 3rd and 4th ventricles that the lack blood-brain barrier These regions are highly vascularized and the capillaries are fenestrated-high molecular weight substances can pass from blood to brain. There are specialized cells in these regions, tanycytes, that connect the ventricle to the adjacent neural tissue Contains receptors for hormones that control fluid volume, electrolytes, cardiac function The neurons in these regions project to other areas involved with neuroendocrine and cardiac control. Circumventricular organs include, among others, the neurohypophysis (posterior pituitary), median eminence, area postrema, anterior periventricular region surrounding the 3rd ventricle. Posterior pituitary. Large neurons in the paraventricular and supraoptic nuclei of the hypothalamus synthesize the hormones AVP and OT. These hormones travel down the axons of the hypothalamic neurons to the posterior pituitary where the nerve terminals release the hormones, like neurotransmitters, into a rich plexus of blood vessels. Since the posterior pituitary is one of the circumventricular organs where the blood brain barrier is breached, the secreted vasopressin and oxytocin can get into the general circulation. ACTH, adrenocorticotropin hormone; AVP, arginine vasopressin; FSH, folliclestimulating hormone; GH, growth hormone; LH, luteinizing hormone; OT, oxytocin; PRL, prolactin; TSH, thyroid-stimulating hormone. Hormones secreted by the pituitary Major target organ(s) Major Physiologic Effects Growth hormone Liver, adipose tissue Promotes growth (indirectly), control of protein, lipid and carbohydrate metabolism Thyroid-stimulating hormone Thyroid gland Stimulates secretion of thyroid hormones Adrenocorticotropic hormone Adrenal gland (cortex) Stimulates secretion of glucocorticoids Prolactin Mammary gland Milk production Luteinizing hormone Ovary and testis Control of reproductive function Follicle-stimulating hormone Ovary and testis Control of reproductive function Vasopressin Kidney Conservation of body water Oxytocin Ovary and testis Stimulates milk ejection and uterine contractions Hormone Anterior Pituitary Posterior Pituitary Pituitary: the Master Gland of Endocrine System The GnRH-FSH/LH-Reproductive Hormone Axis Neurons in the arcuate nucleus and preoptic area produce GnRH and release it near the portal vessels in the median eminence. The blood vessels convey it to the gonadotropes in the anterior pituitary. The release of GnRh is pulsatile (1/hr) and so there is corresponding pulsatile release of LH and FSH. These cause ovarian cells to produce estrogens and progestin. LH causes the testes to produce testosterone and FSH causes the Sertoli cells to synthesize a number of products needed by the Leydig cells and the developing spermatogonia. The CRH-ACTH-Corticosteroids Axis ACTH release by is stimulated by CRH from the PVN. ACTH is released by the corticotrope cells in the ant pituitary. In the adrenal cortex it binds to melanocortin 2 receptors and the effect is to simulate the formation of cortisol. Cortisol affects the liver (glucose synthesis) muscle (protein breakdown to release amino acids), and adipose tissue to mobilization of fat). The TRH/Dopamine-Prolactin Axis The arcuate nucleus and perhaps the median eminence of the hypothalamus synthesize thyrotropin releasing hormone which stimulates the release of Thyrotrophs thyrotropin (TSH) from the thyrotrophs of the anterior pituitary. This in turn stimulates the cells of the thyroid to produce thyroid hormones that act on many tissues. The regulation of prolactin is very different. The pituitary secrets PRL at low rates throughout life in both males and females. However, its major function is important only in females and then only at specific times. However, PRL release is controlled. Without hypothalamic regulation, PRL would be secreted at high levels but release is tonically inhibited by dopamine (prolactin inhibitory factor) from the arcuate nucleus. During breast simulation, neural afferents inhibit dopamine release which relieves the lactotrophs of the tonic inhibition. Several factors act as prolactin releasing factors. For example, TRH release from the hypothalamus is stimulated by suckling. In lactating females, TRH causes increased milk production. Estradiol increases the sensitivity of the lactotrophs to TRH and decreases the sensitivity to dopamine. Two final points: input from neurons in the spinal cord inhibit neurons in the arcuate and preoptic areas of the hypothalamus which causes a reduction in the release of GnRH. This in turn inhibits the ovarian cycle. In addition, the input from cells in the spinal cord causes increased synthesis and release of oxytocin into the posterior pituitary. Oxytocin promotes uterine contractions and milk ejection. Downloaded from: StudentConsult (on 8 March 2009 04:24 PM) © 2005 Elsevier